Individual
DR. MALORIE ANNE WAGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
6333 WILSHIRE BLVD STE 309, LOS ANGELES, CA 90048-5723
(323) 651-5107
Mailing address
6333 WILSHIRE BLVD STE 309, LOS ANGELES, CA 90048-5723
(323) 651-5107
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU4004
CA
237600000X
Audiologist-Hearing Aid Fitter
10864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NO OTHER IDENTIFIERS
—
Enumeration date
11/18/2020
Last updated
07/15/2025
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